Three forms of ACS:
- Primary: stems from hemorrhage
- Secondary: associated with vigorous volume resuscitation with the acute formation of ascites as well as visceral edema. Increasingly common after initiation of early goal directed therapy for sepsis.
- Recurrent: an ACS that recurs secondary to extravasation of fluid via loss of capillary integrity caused by end organ ischemia
- Treat underlying cause
- Decompressive laparatomy with temporary abdominal wall closure if option 1 not enough
Source
Maerz, L et al. "Abdominal compartment syndrome" Crit Care Med 2008.